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Morning MEDtalks with Dr KK Aggarwal 13th October 2018 FDA has issued a warning letter to HelloCig Electronic Technology Co. Ltd for various violations of the Federal Food, Drug, and Cosmetic Act, including selling two e-liquids that contain the prescription drugs tadalafi

FDA has issued a warning letter to HelloCig Electronic Technology Co. Ltd for various violations of the Federal Food, Drug, and Cosmetic Act, including selling two e-liquids that contain the prescription drugs tadalafil and/or sildenafil, leading the FDA to determine that the products are unapproved new drugs. These FDA-approved prescription drugs are not approved for inclusion in e-liquid products sold over the counter and are therefore being sold illegally. In addition, the company is marketing other e-liquids used in e-cigarettes in ways that convey and mislead consumers into believing that the FDA has approved these tobacco products, when it has not. The FDA has requested that the company respond within 15 working days on how it intends to address the agency’s concerns. Failure to correct violations may result in further action such as seizure or injunction.

Intermittent fasting can reverse diabetes: Therapeutic intermittent fasting may help eliminate the need for insulin and other glucose-lowering medications in patients with type 2 diabetes. Findings from three cases were published online October 9 in BMJ Case Reports by Suleiman Furmli, MD, of the Department of Family Medicine at the University of Toronto, Ontario, Canada, and colleagues. The three patients had all been referred to an intensive dietary management clinic and were taking at least 70 units/day of insulin. After several months of intermittent fasting — either on alternate days or three times weekly — all three were able to discontinue insulin while improving their glycemic control. They also lost substantial amounts of body weight and had reduced waist circumferences. Patients ate only dinner and consumed unlimited very low-calorie fluids on fasting days, and ate both lunch and dinner on nonfasting days. Low-carbohydrate meals were recommended when eating meals.

Family system is the best medicine to protect youngsters from slipping into depression, says the Vice President. He was addressing the Platinum Jubilee Celebrations of Ethiraj College for Women, in Chennai on Thursday (11.10.18).

In the backdrop of some oral polio vaccine vials being found contaminated with the type-2 polio virus, the UNICEF and the WHO Thursday reiterated Indias status as a polio-free country. In a joint statement issued Thursday, the United Nations Childrens Fund (UNICEF) and the World Health Organization (WHO) said the risk of children getting vaccine derived poliovirus was "minimal" in India because of a high routine immunisation coverage in the country. The two global agencies also asserted that all vaccines provided under the Universal Immunization Programme (UIP) are safe and urged people to get their children vaccinated not only for their protection but also to keep Indian polio free. (TOI)

First confirmed cases of dengue fever contracted in Spain. Two people from the same family have contracted dengue in Spain, according to sources from the Ministry of Health. Until now, all cases of dengue discovered in Spain were in patients who had travelled to countries where the disease is endemic. But Spain’s National Microbiology Centre has confirmed that both people infected with the dengue virus had recently travelled to Cadiz and Murcia in the south of Spain during the period in which they could have contracted the infection. And now the Ministry of Health is investigating the areas where the infection may have been picked up… (euroweeklynews.com, Oct. 10, 2018).

An initiative to end opioid epidemic: RIZE Massachusetts (RIZE), a nonprofit created to end the opioid overdose epidemic in Massachusetts, has announced that it is awarding nearly $1 million in grants that will fund pilot programs or existing collaborations among local community organizations to enhance harm reduction services.

Taking more than the recommended dose of loperamide can cause dangerous heart problems or even death, cautions the US Food and Drug Administration (FDA).

Portal for automatic registration of FIRs and action against offenders launched by the Union Home Minister Rajnath Singh (Advocate Ira Gupta): Days after the Centre launched a portal where people can file complaints about circulation of child pornography, the Cyber Cell of Delhi Police has registered five FIRs against five websites for allegedly uploading sexually explicit material. Last month, the portal — cybercrime.gov.in — was launched by Union Home Minister Rajnath Singh, leading to automatic registration of FIRs and action against offenders. The portal will not only help victims and complainants, but also civil society organisations and responsible citizens to anonymously report cybercrime, child pornography, child sexual abuse material or sexually explicit material, an official from the Ministry of Home Affairs said, adding that complaints registered through this portal will be handled by police of respective states and union territories. Three separate FIRs were registered under Section 67 of the IT Act. The investigation officer has sent an email to Google, asking them to provide details of the websites concerned. Police are likely to take legal action against the websites. (PTI)

The Delhi High Court quashed the Aam Aadmi Party (AAP) governments circular on giving preferential treatment to Delhi residents over non-residents at the GTB Hospital on Friday (12.10.18). A bench of Chief Justice Rajendra Menon and Justice V K Rao had earlier reserved its verdict on an NGOs PIL challenging the Delhi governments pilot project. The court was examining whether the AAP governments project at the GTB Hospital to give preferential treatment to city residents was violating the right to equality and life enjoyed by others under the Constitution (ET Healthworld – PTI).

(Advocate Ira Gupta): Kailash Satyarthi Children’s Foundation recently flagged off Rang Badlav Ke – Paint the Change, a volunteer and community participation event at Sanjay Camp that aims at mobilizing hundreds of volunteers and artists to give the slum community a vibrant facelift. It attempts at bridging the gaps and increasing community participation by inviting the affluent neighbourhood to contribute in transforming the Camp. This event is part of Bal Mitra Mandal (BMM), a programme initiated under the aegis of Nobel Peace Laureate Mr Kailash Satyarthi, endeavouring to build child-friendly urban slum communities where every child is safe, free, healthy and educated.

US FDA has approved rivaroxaban to reduce the risk of major cardiovascular events, such as CV death, myocardial infarction (MI) and stroke, in people with chronic coronary or peripheral artery disease (CAD/PAD).

Women who are pregnant should be taking this flu season very seriously. According to the Centers for Disease Control and Prevention (CDC), a new study found that pregnant women who got the flu shot reduced their risk of being hospitalized for the flu by 40%. The reason doctors are urging women to get vaccinated is because last year’s flu season was the deadliest in four decades. And this season is already indicating it will be worse than usual

No cases of poliomyelitis have been reported in the Region of the Americas since 1991. The Pan American Health Organization (PAHO) and regional office of the Americas for the World Health Organization (WHO), has advised that no cases of poliomyelitis have been reported either in Ecuador, Venezuela or in any other country in the Region of the Americas. The last case of wild poliovirus in the Americas was reported in 1991 in Peru. The Region was certified free of the virus by WHO in 1994, a status that is still maintained (PAHO/WHO, Sept. 26, 2018).